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PRE 2010 DOCS/WQ NICE CREEK WATERSHED DISTRICT 3686 LEXINGTON AVE N STE 132 ARDEN EMT MN 66126-8016 Telephone: (612)483-0634 NOTICE OF PERMT APPLICATION STATUS DATE OF THIS NOTICE: June 23, 1994 PERMIT APPLICATION NUMBER. 94106 APPLICANT'S NAME & ADDRESS: Keith Eiibenstemer, President, Biltmore Construction, Inc., 4196 Lexington Ave N, Shoreview MN 66126 PROJECT LOCATION: Southwest quad of Gardena Ave and Arthur St, Fridley PURPOSE OF PROJECT: Land Development Plan and Final Site Drainage Plan*for construction of a single-family residential development to be known as Totino Grace Addition, 4± acres At their meeting on June 22, 1994, the Board of Managers of the Rice Creek watershed District took the following action on your permit application: Tabled pending receipt of the following item(s): L Certification of wetland Conservation Act compliance by the City of Fridley. 2. Preliminary Plat granting easements over wetland and 100 year floodplain areas. 3. Cash surety in the amount of .$2,000. The RCWD does not accept insurance company bonds. A Social Security Number or a Federal Tax ID Number may be required for purpose of filing a 1099 Form with the IRS for interest you will receive upon cash surety refund. Please complete the enclosed form and return it with a separate check. If this information is received on or before 7-14-94, this application will come before the Board on 7- 27-94. If received after 7-14-94, this application must wait for the 8-2494 permit meeting. Please submit required exhibits in triplic ate. After receipt and review of the above -indicated items, additional information may be required for clarification to ensure that the District's requirements have been met. If you have any questions, please call me at (612) 483-0634. Bonita Torpe, Administrative Assistant cc: City of Fridley Montgomery Watson RCWD File bet STAT/IHV.FRM MARCH 1994 Engineering sewer Water ,Parks Streets Ma intcnan': MEMORANDUM TO: Barbara Dacy, Community Development Director PW94-201 Michele McPherson, Planning Assistant FROM: John G. Flora,Public Works Director Scott Erickson, Assistant Public Works Director DATE: June 16, 1994 SUBJECT: Preliminary Utility and Grading Review of the Totino Grace Plat 1. It is recommended to administer the project similar to the street and utility construction that was performed by Wal-Mart. The developer will provide all plans, soil borings, design, inspection, surveying and contractor. The developer will petition the City to administer the construction and inspection of the road. 2. Prefer the developer loop the watermain from Arthur Street to the existing main located on the Totino Grace property. 3. Install valves on the watermain at both ends. 4. A 20 -ft utility easement will be necessary for the watermain extension within the plat. Easements In outlot A should be 25 ft wide. 5. Show the existing invert elevations of the sanitary sewer manholes in Arthur Street. 6. Design the new sewer main with the maximum grade possible, currently it is shown at minimum grade. 7. All utilities shall be installed per City of Fridley specifications and will be inspected by the City. 8. The lots located off of Matterhorn Drive do not have water or sewer services stubbed to them. Contractor will install to City standards. Street patch to be completed by City. 9. Use 20 -ft radius 8618 curb returns on Arthur Street. 10. Water and sewer lateral fee assessments will be applied to each lot. An additional street and storm sewer assessment will be included for the lots located off of Matterhorn Drive. 11. Provide a street and utility plan showing plan and profiles. 12. Use NEENAH R -3250-A for catch basin grates and NEENAH R -1733-A lids and castings (27 in. diameter) for manhole covers. Am June 24, 1994 Page 2 13. Install a grate on the end of the storm pipe outlet. 14. Soil borings will be required in the street design. 15. Erosion control plans will need to be submitted for each lot or include them on the plan. 16. Erosion control shall also be installed around the catch basins. 17. The storm pond is currently located on private property. 18.' Adjust the alignment of water and sewer main locations as noted on the attached drawing. 19. A Storm Pond Agreement will need to be executed. 20. An easement should be added around the ponding area. The pond should be located entirely on outlot A. 21. The City of Fridley requires a detention basin to be installed to handle the increased flow rates caused by the development. Please submit pre and post development hydrology calculations, time of concentration calculations, ponding calculations, and hydraulic calculations for a detention pond with a restricted outlet. Provide a narrative on what you are proposing to do. 22. An overflow outlet should be clearly shown on the plan. The outlet should be constructed to overflow and tie into the existing storm pipe located in Arthur Street. 23. The cul-de-sac should have a radius of 45.5 feet. Adjust curb and right-of-way lines accordingly. SE/JGF:cz '+ PLEASE COMPLETE THE FORM --DO NOT WRITE -->"See Attached". ONLY BLUE F01M ACCEPTED. RICE CREEK WATERSHED DISTRICT SUITE 132, ARDEN PLAZA 3585 NORTH LEXINGTON AVENUE ARDEN HILLS, MINNESOTA 55126 cc: City of Fridley Montgomery Watson Inspector Eklin RCWD File For Of face PERMIT APPLICATION NO Rec' d Office 6-7-94 Notice Sent h_g_94 Agenda 6-22-94 Administrative Fee $6 PERMIT' APPLICATION se Only 94 46 Rec `d Engr. 6_9_94 To be completed by the applicant Htl.TMoK& CM-,nWzne1#1, (*k Owner: Dater June 6, 1994 Addresa:4196 Lexington Ave. N. City: Shoreviev--, MN 55126 z -3.p code Permit Application for Approval of: - comprehensive, f: Comprehensive Stormwater Management Plan. X ' Land Development Plan (subdividing) g Final Situ, Drainage Plan. Use. and/or Appropriation. of Fubli_n Waters. No. (612) W-5518 Ii atur. o 'owner) No Agents.' Si g. acceprea-_ Keith Elhensteiner President Remarks: Request for renewal: of Permit f (City of: Fridley LGU) a Bridge. and/or Culvert Construction., Wetland: Alteration. Shoreland: (Riparian) Improvement: Private Drainage System, Other (e= lain, ' in Remarks:) Name, of Project:- Totino Grace Addition Purpose: of Project: - Single Family Homes Development South. of Gardena: Ave.,, East of list Drive" Location of Project -Address.: West of Arthurst. Municipality"or. Township: City of Fridley 1,/4, of Section 24 24 Township 30 Range. Call 483-0634- if assistance in completing this. form. is required'- Please, attach drawings•:, plans and other data.as outlined in "Rice Creep Watershed District Permit Information Brochure, avallable-upon request- Mail or deliver this form along with a $60 fee ($10 administrative- fee; and S50a for two inspections) and 3 sets of. appropriate exhibits to the above address - Engineering review fees will be billed after final Board. action. "A field inspection fee on this permit shall be-charged'to cover actual costs= related to a, field inspection including the investigation of the area - affected by the proposed activity, analysis of the proposed activity, services of a consultant and in addition, a fee will be.charged for any required subsequent monitoring of the proposed activity." M.S.A. 112.88, Subd. 2. Applying for this permit to RCWD does not preclude your applying for any necessary permit§ that may be required from other governmental agencies. AS -78 Revised 1/1/91. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** NO. RATE Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7,00 $10;00 $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. ��✓ �_, 1995 Owner.Y, d �� l di7� Building Used As ,S FY�' Estimated Cost PERMIT NO. PLUMBING COMPANY,,,��. • c.g,?,��.�,�� SIGNED BY TEL N0. 2` 'C Z Approved By Rough—In Date Final Date 50 MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $20.00 $ lo0, SD PLUS THE $.60 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING P E R M I T Ir T NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/30/95 JOB ADDRESS 1422 ROYAL OAR COURT NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark/Beverly Wales 786-7645 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Imperial Homes Inc. 4196 Lexington Ave Shoreview MN 55126 483-5518 20014230 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK [X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 64' x 38' Dwellin • a 32' x 24' Garage; and a 12' x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. Provide a hard surface driveway. Paid park fee of $1,500.00. SEWER/WATER LOCATIONS: See City Engineering Dept as-builts. WARNING Before digging call for all utility locations 454-0002 SEPARAT5 PMITS REQU PED FOR REQUIRED BY LAW WIRING, HEATING, PLUMBING ARID SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $249,837 $124.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $249.84 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER SjjTE OR LOCAL LAW REGULATING CON- $1,637.25 $850.00 STRUC OR THEPER OR CE OF CONSTRUCTION �l" 38 �%S PLAN CHECK FEE TOTAL FEE License SC $5.00 $2,867.01 + PF SGNATUREOF CO TRACT O AUTHORIZEDAGENT IDATEI WHEN PROPS VALIDATED THIS IS YOUR PERMIT BLD INSPTE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI Construction Address: 1422 Royal Oak Court Legal Description: Lot 5, Block 1, Totino Grace Addition — Owner Name & Address: Mark & Beverly wales Tel. # 786-7645 Contractor: Imperial Homes, Inc. _ MN LICENSE #_20014230 Address: 4196 Lexington Avenue, Shoreview, MN 55126 Tel. # 483-5518 Attach to this application; a Certificate -of Survey of the lot, with the proposed construction drawn on it to scale. �d✓>sd DESCRIPTION OF IMPROVEMENT .�113 Z 1.3, LIVING AREA: Len 64' Width 38' Height 18' S . Ft. 3990 Length � GARAGE AREA: Length 32' Width 24' Height 10' S .Ftp �' � X'f �..f$'= dO�y1� 7� DECK AREA: Length 12' Width 12' Hgt/Ground 5' Sq. Ft. X 144 If 7 =1 d3 OTHER: Comer Lot [ ] Inside Lot [x] Ft. Yd Setback 47' Side Yard Sethacks 5.5' & 401+ Type of Construction: Residential. Estimated Cost: $ 229, 000.00 7r Approx. Completion Date: March 30, 1996 (Cost on Back) Driveway Curb Cut Width Needed: 18 Ft. + 6 Ft = 24 Ft x $ 13.50 = $ 324.00 DATE: 11-17-95 APPLICANT: Richard Riemersma Tel. #483-5518 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 00 Af CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 4 I'"� ' 4- �® le cAK cA - RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $,°° representations stated in this application are true and correct. (Side Vent — Fill Out Back)�},� ,199 Gas Piping (Needed with new furnace) $10.00 $ �® � OWNER -a:tM\OQyY'CAi_._ Gas Range $10.00 $—() .� BUILDING USED AS Gas Dryer $10.00 $ �Q *Air Conditioning — All Sizes $ 25.00 $ ESTIMATED COST PERMIT NO. .�' All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER 1 % of Value of Appliance or Work $ No. of Heating Units- Circle One (Steam) (Hot Water) rm Air) Trade Name Size No. 12S- Commercial/industrial BTU k25,Ccx) HP_ EDR 1.25% of Value of Appliance or Work $ Fuel i i 5 Total Connected Load 18/ � Z! State Surcharge .50 Burner Trade Name Size No. B TOTAL FEES TU HP EDR HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By, �� Tel No.���'��1� PLUS THE $.50 STATE SURCHARGE IY REINSPECTION FEE $42.00/Hr Approved By Rough—In Date _—�-- Final Date g *Air Conditioners can not be placed in a side yard without FILL OUT BACK SID FOR STACK VERIFICATION ON IP&kw written permission from adjoining property owner. REPLACEMENT FURNACE 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) S. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) S. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 29, 1996 Mr. Richard Riemersma Imperial Homes Inc. ' 4196 Lexington Ave Shoreview, MN 55126 Re: Final Reinspection at 1422 Royal Oak Court NE, Fridley Dear Mr. Riemersma: A final reinspection was conducted on March 29, 1996 of the above address and the following items were noted which must be completed before the building can be finaled; 1. Complete the final grading and install sod in the front and side yards. 2. Provide a hard surface driveway. We will expect these items to be completed on or before June 15, 1996, and a reinspection called for. Occupancy of the structure is approved. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, BARRY W. RIESCH Building Inspector BWR/mh SUBJECT PERMIT--N-O. ` of Fridley ('24403 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV v PROTECTIVE PROTECTIVE INSPECTION SEC. �'--1 CITY HALL FRIDLEY 55432 NUMBER REV DATEP 7/30/96 P AGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 1422 Royal Oak Court 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Totino Grace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark & Bev Wales, 1422 Royal Oak Court, Fridley 55432 572-2639 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Prestige Pools, 3 E. Little Canada Road, St. Paul 55117 490-1399 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK 7 NEW ❑ ADDITION p ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 18' x 36' below ground pool. 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations in letter dated July 30, 1996, from Building Inspector. Separate permits regquired for gas and electrical. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 12, 000. 00 Fire SC $12.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS. ANY OTH R STATE OR LOCAL LAW REGULATING CON- $187.25 $6.00 State STRUCTION' OR HE PE 'A RMANCE OF CONSTRUCTION .SC PLAN CHECK FEE TOTAL FEE yp $205.25 +SIGNATURE OF CON-,;;KR OR AUTHORIZED AGENT I ATE) WHEN VALIDATED THIS IS PERMIT PPRROPS BLD INSP ^YOUR r DATE SIGNATURE OF OWNER tIF OWNER BUILOERI (DATE) NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: t -Ie Legal Description: Owner Name & Address: "��` ,�,� ��r,✓ � � Tel. #57a. 2e, Contractor: "ef--s- r/ & - MN LICENSE # Address: Cwt r r e_ e (ice- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setbaccka Side Yard Setbacks Type of Construction:/ V24 r��r Estimated Cost: $ Z7,6 ®d Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + < Ft = Ft x $ _ $ DATE: ---517 APPLICANT: ✓� Tel. # ffv-17 2 CITY USE ONLY Permit Fee $ �, Fee Schedule on Reverse Side Fire Surcharge $ , ° 1 .001 of Permit Valuation (1 / 10th %) State Surcharge $ �,. $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS �Z 7� 6n New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7,00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 d'y'e._ 1997 Sump/Receiving Tank $ 7.00 _, Water Treating Appliance $10.00 � Owner Water Heater —Electric $ 7.00 Water Heater — Gas** _� $10.00 ��.U� ^/� Building Used As 1' Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost --C act -ob PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY TEL N0, ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance � Approved By Rough—In Date Final Date State Surcharge .50 �Doc.S-�) MINIMUM FEE FOR ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $. do STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 9' sue iEtr PE City of Fridley 30615 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • -------COMMUNITY DEVELOPMENT DIV. SEC. ®�� r PROTECTIVE INSPECTION CITY HALL FRIDLEY 55432 NUMBERDATE REv WAGE OF APPROVED BY 612-571-3450 910415 1/3/00 JOB ADDRESS 1422 Royal Oaks Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 1 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Mike/Jackie Bilski 1422 Royal Oaks Court NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Timbercraft PO Box 120388, New Brighton, MN 55112 (651) 633-8611 2624 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement bathroom & bar 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATEPERMS CALL FOR FINAL I P. 0 1 � REWIRED ®R. VilOIN 10 DAY ���®sGCOMPLETIONPL�� NS COPY TO HOMEOWmF SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,250 $6.12 DOES NOT PRESUrOE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF Y OTHER STATE OR LOCAL LAW REGULATING CON. STRUC IL OF, PERFORMANCE OF CONSTRUCTION $212.75 Fire/SC $12.25 PLAN CHECK FEE TOTA FEE Licen S $5.0 36.12 SIGN T RE OF CON'RACTOR OR AUTHORIZED AGENT ,DATE, N P OP Y ALIDA 0THIS IS YOUR PE MIT S-GNATURE OF OWNERoF OWNER BUILDER, ,DATE, s 10 BL INSPF14yE 9' NEW[ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 14 Z;—) Legal Description: Owner Name & Address: Contractor: _I m Address: (7 %, x LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: e-, 17'si I S k e` Tel. # Uj' MN LICENSE # <�--(-, -3 '-( Q.4 -j Tel. # 3 3 -�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E14PROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ �/ DATE: a �� APPLICANT: b I - -Tel-#L/ hal —7C Permit Fee USE ONLY $ / o Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 6 e l $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2000 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR �:: Urinal :: Shower ��1> ::: Wash ri ::::::::::. "'>' Tra kik'»�..... Floor For Drain :::: Auto. ::.::::::.:............... :: W Sher .��<:...... a :::: .:: `' ...�.:....::: Gas Ran e Water Heater Stories < �:�''��::::.. Gas Elec Basement P Floor 1 Floor 2 Floor Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'* Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 'r 8r $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge S .50 HCl TOTAL FEE JOB ADDRESS S The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used As n L d6 Estimated Cost PLUMBING CC SIGNED Approved By ,, j PERMIT COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE go COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( a The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air. it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY INSPECTION DIVISION ALTA) � 106-1 yl'" l '( �'o 6431 University Ave NE PK -11e3 ®15z7 I ®1 ZZ� 1 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but not replacement) Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ryTOTAL � Effective On January 1, 2000 JOB ADDRESS N -Z -e, R®H id ItS tau T' BUILDING USED AS 1V ESTIMATED COST 1010 e PERMIT NO. /-VVSc� DESCRIPTION OF FURNACE AND OR BURNER $ gT�AU No. of Heatin Units_ Circle Oneteam) (Hot Water) (Warm Air) $ Trade Name I Size No. BTU HP EDR $ Fuel -)A -T It Total Connected Load Burner Trade Name` W Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and $ ®•6,'D representations stated in this application are true and correct. DATE 111 *1 16 HEATING CO 4t'L i"T Vo 91 lei A 'R_l $O rJ 6 Signed lt TEL # I-LISZ- Approved By Rough -in Date Final D `/dl COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input Fan Assisted or Nat specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input Fan Assisted or Nat and meets the current codes and manufacturer's specifications. This does Total Btu Input include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to Install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : l SUBJECT City of Fridley 33199 AT THE TOP OF THE TWINS BUILDING PERMIT r ', CEIPT NO. ' COMMUNITY DEVELOPMENT DIV. -----_ , 1r------ r PROTECTIVE INSPECTION SEC. � 1 i NUMBER REV DATE PAGE OF APPROVED 8Y 1---1 CITY HALL FRIDLEY 55432 763-571-3450 910-F15 10/22/02 10B ADDRESS 1422 Royal Oak Court NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael & Jackie Bilski 1422 Royal Oak Court NE 763-571-5609 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Timbercraft PO Box 120388, New Brighton, MN 55112 651-633-8611 2624 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace patio door in master bedroom 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per.Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Perm 1t stc ards Will 06 M8116d To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $ 90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,800 • DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63.15 Fire SC $1.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE AL FEE Lice e SC $5 0 7$70.85 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT (DATE, H N PR RLY VA 10 ED THIS IS YOUR P MIT LOG INSP TIAI SIGNATURE OF OWNEROF OWNER BUILOERI IDATEI l 10/21/2002 11:13 6338859 TIMBERCRAFT DO CrTY OF R IO E RADON (j 6431 Univesity Avs F ALTER J SINGLE FAMILY AND D P BUILDING PERMIT COM struction Address: 4 o da Legal Description: Omer Name &Addy Ccntraotor. TIv Addre`g,4: & 4S®X .jl ., e r AJ" 6,.1. Attach to this aPOIcation, a lot, w°rth the PMPosed const DESCRIPTION OF LIVING AREA: Length WWII GARAGE AREAL Length yykIp1 DECK ARIA: Length ___Ir� VVdth OTHER: Construction Type: Driveway Curb Cut Wdth Needed. ,Ft + 6 Ft = — Ft x DATE: 1 10 vZ APPL=W.- Cali (783) 672•2804 fcw pmmit pm 11 mailing T�rpplication or F to call you for card nunibat CITY USE ONLY - Permit Fee $__ �.L Fee Schedule c Fire $ :001 of Permit stat® Surcharge $ $,501$1,000 Va SAC Change $ $1200 per SAC LiCOnse Surcharge $�_ �-®® $5.00 {State be Driveway esmw $ Alt. "A" or Alt. 118 Erosion Control $ $450.00 Confer PS* Fee $ Fee Determined Sewer Main Charge $ Agreement Nec! TO_T__ $ 0 • c ST :a// �r eG FAWMEW PAGE 01 MN 56M (763) 1/1/2002 R-1 AND R-2(763) 9724804 Bldg ftp TION „Tel. 9103 - 0 e/ MN LICENSE d 2A.2; Y Tel 0 Survey of they on it .to scale. .` Sq. Ft -r-- 4 Ft swtd _,.._. 84. Ft. ■S Tot. a -As/- 633- tg r/. 'if using eredit card and we will arse Side Residential Contractors) ►e Plan Review I Not Necessary i 'SA A113 WCdd 9b :60 Z00Z-1Z-j:)0 01 SUBJECT City of Fridley 3539 AT THE TOP OF THE TWINS BUILDING PERMIT r E • COMMUNITY DEVELOPMENT DIV. ______ r v PROTECTIVE INSPECTION SEC. �'7 7 M E NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEV 55432 763-571-3450 910-F15 5/21/03 JOB ADDRESS 1422 Royal Oak Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Totino Grace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Bilski 1422 Royal Oak Court NE 763-571-5609 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 13' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARN ING More digging call foF all utility locations 45"002 EvUIRED By LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A,PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED g37 $.97 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW $69.25 Fire SC $1.94 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE A /I/ — A 1 $72.16 G ATUR %CON• ,TOR OR U ORIZEO AGENT I ATEi HEN PROPERLY VALIDATED THIS OUR K Yv A— j F4 1NSP U -a� LA G IIITE S�GNA TUBE O� OWNER n� OW ER B ERI I ATE, 01 NEW ADDN [ ] ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION N ftn Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-128t�cvl�42-1 7 F Owner Name & Address: % �i �.a-� %��4/s k' Tel. # 76 3��%�� S6 Contractor. V4 --m`_- Ow )0 fA MN LICENSE # Address: S4t Tet. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 1 _ Length Width / Height 7 Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Pei % i 0 4---a (�� Estimated Cost: $� � � 0 v H Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _=$ DATE: 5- / I a-0 o3 APPLICANT: A I V�� ef . 06). 1 s k ) Tel. # 637 t " � A Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge P TOTAL $ l Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] NEW ADYN j ALTER [ ] Construction Address: Legal Description: Owner Name & Address: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION � 1� _0� RD` Contractor: -IT[)-e4 (, a Address: 33FS, a le V e In d 5-5 _q3 Z Tel. Cb -3- (r0_� MN LICENSE # M If Tel. # /IjqS I) 6 3.3 _ 9(o ( i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to *scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: b &+fi r -e rA n c e Estimated Cost: $ >'' , Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE:47,1 ® APPLICAN Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ r �S $��'zl $ $ • 5"O Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 VCDs Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT neAov nn IRMCD rnC MYTI IRGC Tn RF IAICTAI I Frl nN FAr`1-1 FI MR Stones ).�I�'I� Urinal 'I'`!�#.`r Shower ir.....::: Wash Tra ::::::: :>�I�i��� Floor Dram :�»::.::: Auto. Wash <' ..�`#.�I�::>:...... ����.����.�>..::.. Gas �;:.::.::: Water Heater ....�.....::.. Gas Elec Baseme -r - 13 20(5 Rain Water Leader $10.00 DATE: o , Sump/Receiving Tank $10.00 ZsWater Treating Appliance $35.00 OWNER `��iK—) Water Heater -Electric $35.00 n Floor $35.00 BUILDING USED AS Y �° Gas Range** $10.00 CC Gas Dryer** $10.00 ESTIMATED COST 6k7V• B9RMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 Floor 2 Reinspection Fee $50.00/Hr ----------------- ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Floor F 3 State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $'41,56 OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 I F oor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS r �__" I New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 46, specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 -r - 13 20(5 Rain Water Leader $10.00 DATE: o , Sump/Receiving Tank $10.00 ZsWater Treating Appliance $35.00 OWNER `��iK—) Water Heater -Electric $35.00 n Water Heater - Gas** $35.00 BUILDING USED AS Y �° Gas Range** $10.00 CC Gas Dryer** $10.00 ESTIMATED COST 6k7V• B9RMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPA- Reinspection Fee $50.00/Hr SIGNED B�TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $'41,56 OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE I FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUStION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. i Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer Appliance #2 Type specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed asseinbly BTU Input and meets the current codes and manufacturer's specifications. This does Total Appliances include AGA GAMA Category 1 Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes Appliance #1 Vent Connector Height and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed ft Length to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When installing a new venting system, the undersigned hereby verifies that R is a listed assembly and meets the current codes and manufacturer's; specifications. This does include AGA GAMA Category I Central Fumice V6nting Tables for fan assisted and natural draft appliances. Yes () No 19 the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : From: 6338859 Page: 2/6 Date: W1200710:51:32 AM Building BUIY,DIN�G Permit No.:' 17 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY rhft�aD JUN 7 2 t►Aa� f -07-07 ___ Youit&MAm ADDum —pet timl: ercraf tremodelim. com ZM ADDRESS 1422 EMI t]c ]c hurt TM A PLICANT 15: la 0WN2K ' MCONTRACTOR PROPERTY OWNER/ per; Jackie & Michael $ilski TENANT ADDRffiS:-__1_422 Royal oak court . crry FggLey • _5TA 55432 MONK: 753-571-5609 C011i1`YtACTOR wAm& T192ggCraft aft; lariees Inc. 3iJEA?IT A COPY OF STATE ticENSE S 2624 W DATE 3--31-0$ YOUR STATE LICENSE ADDRESS: 3McleVelaM, AVenue 5W qTy New Bri c�htca�r AT�'�1 zm 55112 Mill APPLICATION mom rm-in-4-gfiii FAX . PROPERTY TYPE V S /NEW CONSTRUCUONN SIZE O TWO FAMA.Y/NSW CONSTRUCTION S'Cgg1E,S PERMIT TYPE UADDMON [3 G�sl O HMMdEhIT FINISIi Em" O DRAIN TILE ° O DECK 17 S1D1NO O OTM t7 3oV1IMEI►l1NG POOL TYPE OF WORK: ® NEW W ADDITION t71NAfN'fft C Ant 0 RMKWEUNCr, DESCRIBE WORK BEING DONE: Re -roof SIZE OF IMPROVEMENT' LENM WIDTH HEIGHT Sq. Ft. ME HW$11 ONLY MIN ESOUAW . aPffXZE &GMAGE �} Rffi4I©DII.]Nd3USMtT I. Exkft i tour Plan SIZl1: QtWAC z. Proposedflawplan PROPOSED mkff 3. Lief aftuacw l s m he atm MV, CWOM FOR NEW CONSTR =ON INCLUDING DECKffi, , Q Alumk= O odd O Tft O Fasda 1. ^ Site Plansunrey shower the existing ateuanues awl Pel pmt �� 1N E WING OPENINGS 2. 3• ']tine sats ofoonon ptama P calculdions Myers ONQ LOCATION OF WMM rSy Olt FOR NEW OPENNGS•DFSCIM SM OF OPEMO CHANON lit 1'vPE OF B2MQW TO BE P! ALL13D OIr q� A f. WWWO AOa 1AcMn Alkl f.a 0,-9.— ... �.,.....y-•••_ r—A..saarVAP vn ♦aY"vAAIHE L:L1A1!" Cir' LAWKAmD MA,TERLUS: TOTAL LO -9 VALDATION$O Tl� I II.B.+r FEE SGMDOCCUPANCY TYPEpermit Fee $ a l). X Seo Back Psge for Fee Schedule / Plan Review $ 65% ofBuilding Pamit Fee G 0 if PIM S=hmv $ /a _ i _. .001 times the total job valuation Surchose $ : Uv1 .0005 $ Permit Valuation Minimum $.50 Lic=w Surcharge $ _. > 55.00 (State Licensed Residential Contractors) SAC Charge $ $1675 ger SAC Unit (Plans to MWCC for deterrmftudion) Curb Cat Esa w $ R +lifts 8x$21- S 131rosion Castrol $ $450 Conurvation Plan Review Park Fee $ Fee Determined by Engkec tg Sewer Mein Charge $ Agmanent awmary ( ) Non Necessary ( } Total Due $ Make cheeks umble to: City of Attae6 Mukdow THIS IS AN APPUCAUON FOR A PMUT NOT VALID UNM PROCESSW 1 hm*y apply for a building parndt and I acknowledge that the Information above is complete and accurate; that the work will be in conformance with the onlinanecs and coda of the City of Trridley and with the Minnesota Construction Codes; that I undeavtand this is eat a pamit but only an application for a permit and Mark is not to stgrt wWHW a pemlit; that the work will be in aceorda= with the approved plan In the ease of all work wh u low ad approval of plans. SMArM OF APPLICANT �Rp�T N,� meter J. Murlowski nATP. 6-07-07 I Al Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 Permit No.: DATE R - L DRE S SITE ADDRESS r ' THIS APPLICANT IS: 0 OWNE SON 1ACTOR PROPERTY NAME: LI), 4u OVVNER/ ADDRESS: � r--71�d CITY STATE ZIP TENANT n CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # U.XP DATE LICENSE WITH ADDRES :CITY STATEAWLIP APPLICATION PHONE4P/;k 1 _�{jCIOFAX PERAHT TYPE f *SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK- 0 NEW 0 REPLACEMENT 0 ALTERATION/REMODEL 4 DET ED DEC ON OF WRK /4 p L-11 FEES ARE BAS"N $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: MFG: MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 —AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _BOILER $35.00 _FURNACE $35.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 DUCT WORK $10.00 TGAS PIPING $10.00 SIZE/BTU SIZEIBTU ,GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all ork which reyir review and approval of plans. SIGNATURE OF APPLICANT (� PRINT NAME Kft1 V DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED -TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/lFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuer other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.